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General NPI Number Information
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NPI Number | 1811484132
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Entity Type | Individual
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Provider Name | DEBORAH CHIELLI AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 100 S CENTER ST
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City | THURMONT
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State | MD
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Zip | 21788-1910
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Country | US
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Telephone | 301-271-4333
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Fax | 301-271-7486
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Provider Business Mailing Address
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Address Line | 104 MISSOURI CT
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City | FREDERICK
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State | MD
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Zip | 21702-6450
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Country | US
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Telephone | 570-881-5857
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | R229002
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License Number State | MD
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